| Doctor Name: | JANE BEATTY |
| NPI Number: | 1124207980 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMHC, AAT |
| License Number: | 5900 |
| Business Practice Address: | 133 Falmouth Rd Building 1, Suite F Mashpee, MA - 026492611 |
| Business Phone Number: | 5082748957 |
| Business Fax Number: | 5084772499 |
| Mailing Address: | 77 Carl Landi Cir, EAST FALMOUTH |
| State: | MA |
| Postal Code: | 025367752 |
| Phone Number: | 5082748957 |
| Fax Number: | 5084370239 |
| NPI Enumeration Date: | 10/29/2007 |
| NPI Last Update Date: | 10/29/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 5900 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |